Active NPI
Alicia Hendrie
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1730551284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019705-1
- Practice address
- 2071 Flatbush Ave
Suite 210
Brooklyn, NY 11234-4340 - Phone
- (888) 704-6364
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 025067-1 | NY | |
| Occupational Therapist | 225X00000X | 019705-1 | NY | Primary |
| Environmental Modification Occupational Therapist | 225XE0001X | 019705-1 | NY | |
| Ergonomics Occupational Therapist | 225XE1200X | 019705-1 | NY | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 019705-1 | NY | |
| Gerontology Occupational Therapist | 225XG0600X | 019705-1 | NY | |
| Hand Occupational Therapist | 225XH1200X | 019705-1 | NY | |
| Human Factors Occupational Therapist | 225XH1300X | 019705-1 | NY | |
| Low Vision Occupational Therapist | 225XL0004X | 019705-1 | NY | |
| Mental Health Occupational Therapist | 225XM0800X | 019705-1 | NY | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 019705-1 | NY | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 019705-1 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 019705-1 | NY | |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 019705-1 | NY |
Addresses
Primary practice location
2071 Flatbush Ave
Suite 210
Brooklyn, NY 11234-4340
Mailing address
2071 Flatbush Ave
Suite 210
Brooklyn, NY 11234-4340
Phone (888) 704-6364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025067-1 | NY | MD | Massage Therapist |
| 019705-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1730551284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2071 FLATBUSH AVE",
"address_2": "SUITE 210",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344340",
"telephone_number": "888-704-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2071 FLATBUSH AVE",
"address_2": "SUITE 210",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112344340",
"telephone_number": "888-704-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIE",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "025067-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019705-1",
"primary": true
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "019705-1",
"primary": false
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NY",
"license": "019705-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.